INTERNSHIP REPORT on

I care Medical billing company

SUBMITTED BY

Syed Zakria Irtaza

ROLL NO (11)

SESSION: 2017- 2021

DEPARTMENT OF MANAGEMENT SCIENCES

UNIVERSITY OF AZAD JAMMU AND KASHMIR,

MUZAFFARABAD

August2021

i
 INTERNSHIP REPORT on

I care Medical billing company

SUBMITTED BY

SYED ZAKRIA

ROLL NO: 11

This internship report is submitted in partial fulfillment of the requirements for

The degree of Bachelor of BS BBA awarded by the University of Azad Jammu &
Kashmir, Muzaffarabad.

DEPARTMENT OF MANAGEMENT SCIENCES

UNIVERSITY OF AZAD JAMMU AND KASHMIR,

MUZAFFARABAD

August2021

ii
 DEPARTMENT OF MANAGEMENT SCIENCES

UNIVERSITY OF AZAD JAMMU AND KASHMIR,

MUZAFFARABAD

August2021

APPROVAL SHEET

1. Evaluator
Mr. / Ms. / Mrs. Signature _______________

2. Chairperson

Mr. / Ms. / Mrs. Signature _______________

DEPARTMENT OF MANAGEMENT SCIENCES

UNIVERSITY OF AZAD JAMMU AND KASHMIR, MUZAFFARABAD

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Students Declaration

I declare that this material, which I now submit for assessment, is entirely my own work and has
not been taken from the work of others, save and to the extent that such work has been cited and
acknowledged within the text of my work. I understand that plagiarism, collusion, and copying
are grave and serious offences in the university and accept the penalties that would be imposed
on me.

I have read and understood the Assignment Regulations set out in the module documentation. I
have identified and included the source of all facts, ideas, opinions, and viewpoints of others in
the assignment references. Direct quotations from books, journal articles, internet sources,
module text, or any other source whatsoever are acknowledged and the source cited are
identified in the assignment references.

This report or any part of it has not been previously submitted by me or any other person for
assessment on this or any other course of study except for the contents that have been mentioned
in referencing. I have read and understood the referencing guidelines as recommended in the
report guidelines.

Signature:

Name:

Registration #:

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Scanned copy of Internship letter

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vi
Dedication

First of all I would like to Thank Allah Almighty for blessing me with the best of people; my
mother and my father, my loving and responsible teachers.

I Dedicate my little piece of work to my parents, who believe in me, invest their time and money.
They constantly give me moral support, guidance, love, strength, assistance, and believe in me in
good and bad times which I face during my studies. At this stage I am confidently saying that
what I am today is just because of my parents and my teachers. Heartily love you all.

And at the end I like to thank my teachers, their effort, dedication and confidence gives me a lot
of exposure, confidence and I am able to learn a lot of things in a good environment.

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 TABLE OF CONTENTS

1.1 Executive summary:_________________________________________________________________1

1.2 Scope of the study:__________________________________________________________________2
1.3 Instruments of data collection________________________________________________________3
1.3.1 Data sources:_________________________________________________________________3
1.3.1.1 Primary and Secondary________________________________________________________3
1.4 Merits and Methodology of the study:_________________________________________________3
1.3.1.1 Primary and Secondary________________________________________________________4
1.4 Merits and Methodology of the study:_________________________________________________4
Medical Billing Company, that Promises to Deliver Great Revenue Cycle Management Services___6
2.2.4 OBJECTIVES:________________________________________________________________6
2.8.3 Social Analysis:______________________________________________________________18
2.8.4 Technological Analysis:_______________________________________________________18
2.8.7 Final Thoughts:______________________________________________________________19
Chapter no 03______________________________________________________________________19
3.1 Brief Introduction of Company________________________________________________________20
3.2 Starting and Ending Date of Internship:_________________________________________________20
3.3 Number of employees:______________________________________________________________20
3.4 Detail of job description and position:__________________________________________________20
3.5 My Job___________________________________________________________________________21
3.5.1 Week 1 & 2:_________________________________________________________________21
3.5.2 Week 3:____________________________________________________________________22
3.5.3 Week 4:____________________________________________________________________23
3.5.4 Week 5:____________________________________________________________________23
3.5.5 Week 6:____________________________________________________________________23
Chapter # 04_______________________________________________________________________24
Findings and Recommendations________________________________________________________24
4.1 Workplace Environment:____________________________________________________________24
4.2 Management Leadership style:_______________________________________________________25
The Icare billing (Bagh Office) was managed by Mr. Rasheed.__________________________________25
4.3 Employee attitude and morale:_______________________________________________________25

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4.4 Budget and Finance:________________________________________________________________25
4.5 Findings:_________________________________________________________________________25
Its competitors are providing more salaries than I care billing company. It should be revised and
employees should be paid handsome salaries.______________________________________________26
Bibliography_________________________________________________________________________28

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 ACKNOWLEDGEMENT

All gratitude and praise to ALLAH (SWT), WHO blessed me to do my work efficiently.

Without His mercy I can’t complete my work. All the favors of ALLAH to the Holy

Prophet Mohammad (PBUH) for enlightening our conscience, Who enabled us to recognize

our CREATOR and Whose love is the only real achievement of my life.

Then, I would be grateful to all my lecturers, they provide me proper guidance, confidence, and
material. Their knowledge and skills helps me in completion of my work during my tenure, even
in the worst time of pandemic.

I would like to thank my parents, my siblings and friends for their motivation and moral support,
love, prayer, affection. Their support makes me able to get higher studies and explore new
spheres of life. They believe in me and make the best out of me.

Thanks to all of them. May ALLAH (SWT) bless them all.

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 List of Abbreviation

ICB I care Billing Company

HIPAA Health Insurance Portability and Accountability Act of 1996

USA united States of America

AAPC American Academy Holdings

ICD International Classification of Diseases

CPT Current Procedural Terminology

HCPCS Healthcare Common Procedure Coding System

COB Coordination of benefits

EOB Explanations of benefits

IBIS Internet-Based Information Systems

CMS Center of Medicaid and Medicare Services

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xii
 Chapter: 01

Introduction to the report

1.1 Executive summary:

Six to six weeks of internship in a well reputed organization is a requirement for the completion
of BS BBA. For this purpose I have completed an internship of six weeks in a USA based
medical billing company named as Icare Billing company . The main aim of this company is to
perform the tasks of Charge Posting, Claims Audit, Clean Claim Submission, Denial
Management, and Payment Posting to ensure the providers get paid faster and focus on Patient
Care.

I care medical billing company is a private company which:

 Creates a hassle-free, speedy and rewarding insurance claim process for medical
practitioners as well as patients.

 Creates a seamless claims reimbursement process, by connecting medical practitioners

and insurance companies through an expert and professional team, backed by state-of-
the-art technology.

 A customer-centric approach guarantees that medical practitioners can focus on their core
functions while patients receive unruffled treatments and services.

 strive to improve accessibility and efficiency by servicing the peripheral tasks related to
medical billing.

Following are the points in which this internship helped me: 

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  It developed my skills in the application of theory to practical work situations.
 It helped me to conduct different professional projects.
 To acquire good work habits and sense of responsibility.
 To enhance my learning experience by application of fundamental concepts
previously learned.
 To observe, analyze and interpret the relevant data completely and in a useful
manner.
 It helped me to create a professional network and a strong resume.
 I was able to learn management of tasks for different projects under the
supervision of great mentors.

1.2 Scope of the study:

The United States is a world leader in healthcare services and an innovator in cutting edge
diagnostics and treatments. The United States has the largest healthcare services market in the
world, representing a significant portion of the U.S. economy. In 2010, the healthcare services
industry accounted for approximately $1.75 trillion in revenues and employed over 14 million
people, or nine percent of the U.S. workforce. The U.S. Bureau of Labor Statistics estimates that
growth in the industry will yield 2.2 million new jobs between 2018 and 2024. The medical
billing industry evolved from the medical industry’s need to outsource tedious and complex-
billing procedures to specialized firms. Billing firms gather patient information, such as
procedures and insurance coverage, and then submit this information to insurance companies for
reimbursement. These firms track the payment process from submission to final payment to
ensure payment is actually received.

. As an internee in the Icare billing company department, the main focus of my internship is to
observe the organization environment and experience work ethics and routines. The main focus
of mine is to develop a professional aptitude, strengthen personal character, and provide a greater
door to opportunity.

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 1.3 Instruments of data collection

1.3.1 Data sources:

In this report writing, a mixed blend of primary and secondary data has been used. In
addition to this primary data was also used wherever the unavailability and shortage for
secondary data was felt.

The Instruments used in data collection are following:

1.3.1.1 Primary and Secondary

⮚ Websites

⮚ Publications were used as a tool of collecting the secondary data.

⮚ Presentations

⮚ Formal and informal discussions, group discussions

⮚ Observations

1.4 Merits and Methodology of the study:

For the purpose of writing this report the method of collecting information has been used in
discussions with company employees. Personal observation in addition to data also collected
from.

⮚ I care billing company website.

⮚ By discussions with my manager/colleagues

⮚ Internet

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 1.5 Purpose and objectives of report:

Internship training program during Bachelor in Management Sciences is necessary. The

Internship will enable internees to integrate and use knowledge and skills from the classroom to
the working environment. For achieving my purposes, objectives and for the preparation of the
internship report, I required some kind of data that I collect form organization and from
outsource.

And it is also helpful for the student to get the exposure of the working environment in their
bachelors, and find out the capability of himself by writing and suggesting in the report that they
learn in the classroom and working environment.

1.3.1.1 Primary and Secondary

⮚ Websites

⮚ Publications were used as a tool of collecting the secondary data.

⮚ Presentations

⮚ Formal and informal discussions, group discussions

⮚ Observations

1.4 Merits and Methodology of the study:

For the purpose of writing this report the method of collecting information has been used in
discussions with company employees. Personal observation in addition to data also collected
from.

⮚ I care billing company website.

⮚ By discussions with my manager/colleagues

⮚ Internet

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 Chapter # 02

Introduction to the I care billing company

2.1 Introduction of organization:

I care medical billing company is a HIPAA compliant service provider in the health-care
industry. They cater to all the medical billing requirements. Being one of the forerunners in the
industry, I care billing ensures that their clients receive the best and most economical business
solutions. They have partnered several healthcare professionals to outsource their medical billing
processes for maximizing efficiency. Along the way, they have accumulated invaluable
experience and expertise and built an impeccable goodwill. Icare billing’s satisfied clients are a
testimonial for their skill, commitment and the ability to get things done!

2.1.1 History of I care Billing:

I care billing company was established in 2013 by a Pakistani Medical billing account specialist.

2.2.2 VISION:

Medical Billing Company, that Promises to Deliver Great Revenue Cycle Management Services

2.2.3 MISSION:

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To create a hassle-free, speedy and rewarding insurance claim process for medical practitioners
as well as patients. We endeavor to create a seamless claims reimbursement process, by
connecting medical practitioners and insurance companies through an expert and professional
team, backed by state-of-the-art technology. Our customer-centric approach will guarantee that
medical practitioners can focus on their core functions while patients receive unruffled
treatments and services.

2.2.4 OBJECTIVES:

Reduce the amount of paperwork for medical staff and to increase efficiency, providing the
practice with the ability to grow.

❖ reduce costs and to allow physicians to address all of the challenges they face daily
without having to deal with the daily administrative tasks that consume time.

❖ To reduce the claim denials and improve insurance collections.

❖ To Streamline Healthcare practice workflow by checking medical billing reporting

analytics.

2.2.5 Core Values

Every business has to acquire specialized industry knowledge to not only thrive but also push the
industry standards on a higher ladder. We believe that healthcare professionals have been trained
for years to focus on patient care and spending time on claim denials shouldn’t be their job. We
need a better healthcare system where only specialized industry experts work on their tasks.

To support better healthcare for everyone, you need a Healthcare RCM Company to work on
your patient’s claims to collect from the insurance companies.

❖ We live with integrity.

❖ We are passionate.

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 ❖ We communicate effectively.

❖ We work hard and play hard.

❖ We support personal and professional development.

❖ We embrace and drive change.

❖ We use our resources to the fullest potential

2.2 Organizational Structure:

Main Governing bodies:

 Chief Executive Officer

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Mr. Israr Kazmi

 Director General

Mr. Azhar

 Assistant Director

Mr. Rasheed khawaja

2.3 Business Model:

● I care billing’s top-quality services are designed to enrich clients' business by taking
away the hassles and facilitating a smooth and efficient medical billing process. They
meticulously manage every phase of the claims processing, to support an error-free and
accurate outcome.––

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● Pre-certification & Insurance Verification:

They first check the data from the doctor’s appointment diary, match it with the patient’s
demographic profile and ascertain the eligibility through an online process - thereby
reducing the chances of rejections.

● Patient Demographic Entry:

At this stage, Icare billing’s medical billing specialists scrutinize and enter the patient’s
details, as provided at the time of the visit. This includes details like, patient’s name, date
of birth, address for correspondence, insurance details, medical history, guarantor details,
etc. In case of existing patients, records are validated on the practice management system;
changes, if any, are updated.

● CPT and ICD-9 Coding:

Icare billing’s AAPC certified and highly qualified coding team has over two years of
experience in multi-specialty coding, allowing us to accept super bills with diagnostic
notes with or without ICD and CPT codes. In case, the super bill is accompanied by the

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 codes, our expert coding team verifies and validates these codes to confirm that there are
no glitches while ‘up-coding’ or ‘down-coding’, which may lead to unnecessary denials.

● Charge Entry:

Icare billing’s billing specialists make certain that once the fee schedules are pre- loaded into the
practice management system, CPT and ICD-9 codes are entered into the system. Post this, they
methodically confirm that the claim contains all the necessary details and is ready to be filed.

● Claims Submission:

Icare billing then accept claims in both electronic as well as paper format. A senior billing expert
scans your claim and scrutinizes it thoroughly. After the quality assurance process is complete,
the claim is submitted. In case the claim is rejected, we obtain the report from the clearinghouse,
incorporate the suggested changes and resubmit your claim.

● Payment Posting:

Icare billing maintains the integrity of your data by collating the electronic data and scanned
EOBs with the bank data on a daily basis.

● Account Receivables Follow-up:

The filing limits and the age of the claims are reviewed and prioritized as soon as they are
entered into the system. A periodic follow-up with the insurance company, online and/or via
phone/email, is carried out to get an updated status of the submitted claim.

● Denial Management:

Icare billing’s senior medical billing specialists carefully analyze the denials and partial
payments. They contact the relevant individuals (payers, patients, providers, facilities and others)
in case of denied/underpaid/pending/improperly processed claims. If the provider authorizes

10
them to directly elicit data like the ID# from the patient, they directly contact them and update
the COB (Coordination of benefits) with their insurance companies. In case of secondary paper
claims, we process the necessary documents and send them to the client’s office for submission.

Reporting:
I care billing service also customizes client’s reports to suit their requirements.

2.4 Services offered by the Icare billing:

● Fee structuring - Analysis and Recommendations

● Eligibility and Insurance Verification.

● Patient information - Collection and Analysis

● Quick Rendering of Individual Claims - Professionally, Accurately & Electronically

● Persistent Follow-up

● Prompt Payments Posting

● patient statements - Generation and Mailing

● Personal Reply to Patient Billing Queries

● Collection of Outstanding Receivables - Effective, yet Courteously

● Customized Monthly Statistical Reports and Spreadsheets

● End-to-end revenue cycle management services

● Efficient medical coding services delivered by one of the largest pool of medical coders

● Clinical documentation improvement

● Improved visibility to metrics including reports specific to each of the providers

supported

● Applications services to optimize workflow, data flow across systems, and effective
knowledge management

2.5 Place of industry:

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 The medical billing industry has been steadily growing over the last five years.
According to IBIS World, the industry has seen an average of 3.1% growth to $4.3 billion
from 2015-2020. While many sources have said that the industry has taken a small hit in
2020 due to the Covid-19 pandemic, the industry is expected to quickly rebound. The
market is projected to hit $12.44 billion by 2023 at an annualized growth rate of 13.93%.

2.5.1 Marketing Analysis:

Marketing mix of I care billing company is based on the varying conditions of the providers and
hospital markets. The company effectively implements strategies and tactics to maintain a
satisfactory share of target markets in United states.

Products/services

 Credentialing
 Medical Coding
 Medical Billing
 Transcriptions
 IT services and solutions
 AR Recovery

Place/ Distribution of products:

Currently they are offering services in USA except few states only. It uses the following places
or venues to offer their products:

 In Office
 Websites
 Magazines and Digital markets.

Being an IT company, having a separate optic fiber internet link and connected to the
USA office through its VOIP phones, place never been an issue for ICB. From the

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 Human Resource point of view if ICB keep on growing at the current rate they will have
to arrange more buildings.

Promotional Mix

It uses the following promotion methods:

 Public relations
 Personal selling
 Sales Promotion
 Direct Marketing

ICB major clients are word of mouth referrals. They are referred by already existing
clients. Second major source of marketing is the post card which they send to all the
doctors in the targeted state.

Pricing Strategy:

It is using the percentage of total collections for medical billing and coding services and specific
costs for projects like IT services and AR recoveries.

ICB competes on its price, no medical billing company with operations in USA can
provide billing services at 4%. ICB having its operations in Pakistan compete in
international market on its 4% collection rate.  

2.5.2 Financial Position:

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As an intern it is not possible for us to calculate the financial position of the organization because
of the many policies and financial confidentialities.

But during the internship we roughly get to know that each client (provider) generates roughly
$3000 of revenue monthly .Highest revenue given by a Provider from Texas which is 10-11K
USD. And collectively from all the providers and IT services they earn income of almost 85-87K
USD annually. 

The capital allocation strategy supports both growth ambitions and returning cash to
shareowners. At the same time it is reinvesting in the business to support the growth agenda.

2.6 Competitors:

The Competitors of I care medical billing company are the many Medical billing companies
working in the industry, but in Pakistan there are 3 major competitors:

1. Ovex Technologies

They have a small billing unit but they pay very high so employee who just looks
for a good salary at current time they usually tend to go towards Ovex
technologies.
They don’t have any competition with ICB from client’s point of view. ICB has a
separate market to work on.
2. DPS
DPS don’t have a significant Billing unit but they do attach the ICB Employees
for their call center.
DPS has their HR department working in the same locality where ICB is doing business
these days
3. Cure MD

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 Cure MD operates in Lahore and don’t have any Clients competition with ICB but
they defiantly are attracting those employees who are willing to walk away from their
home land.

These competitors also work in the same industry and have the same target market. Basically all
these organizations have the same purpose of providing the billing services to providers in the
USA.

2.7 SWOT Analysis

SWOT analysis of I care billing will be described in detail and written as follows:

2.7.1 Strengths:

 Operating in Texas and California since 2015 and has gained a lot of reputation, proof to
that is 80% clients are just referred by existing clients.

 There is a friendly environment among the employees and everyone is given an

opportunity to prove his/her qualities.

 Decentralized decision making process involving the participation to contribute.

 Operational backup office in Illinois state which can be used in unfavorable conditions.

 Internal training team with no external dependencies, they hire the raw material and mold
them to their needs.

 Totally internal IT unit which is not dependable on any external source, starting from
web hosting to the software development.

 Low operational cost and salary disbursements due to main office in Pakistan

2.7.2 Weakness:

 Low retention rate and there is always a fear that we may get short of experience and
trained employees.

• Marketing team doesn’t have many options available, and working in the very
competitive market they need a big budget to grab big clients.

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  Having no incentive plan is a very de-motivating factor for employees.

 No defined increment policy and ad-hoc increments always create a doubt in the
employee’s minds.

 Exceptional English communication skills are required which are not available at low
cost in the local market.

2.7.3 Opportunities:

 Cheap Labor in a developing country like Pakistan always gives an edge to companies to
pass over this advantage to the client.

 Friendly environments help the employees in gaining confidence and perform openly,
without any hesitation and help in improving the quality of the billing services and
services being offered to its customers.

 A variety of services improve the level of customer satisfaction by providing them

greater options, which further enhances the image of the organization.

 Getting Icare billing website on the Google top ranking opens another horizon for the
company.

2.7.4 Threats:

Outsourcing has always been a threat from the USA government. Every time an election
campaign for the presidency starts one of the candidates has an opinion against outsourcing .The
day the USA government makes a decision to take the business in-house then the Icare billing
business will be over.

In case of any political mishandling in the country operations are affected .this is not acceptable
to the clients in the USA.

Medical billing business is so volatile the patient and client can Sue the company any moment.
Billing companies are closed on even small mistakes.

2.8 PESTEL Analysis:

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2.8.1 Political:

Political instability in Pakistan has always been a concern for the client in the USA. Whenever
there is news about Pakistan Icare billing finds it very difficult to keep the clients that their
business is in safe hands. In case of any political mishandling in the country operations are
affected which is not acceptable to the clients in the USA. Every time an election campaign for
the presidency starts one of the candidates has an opinion against outsourcing .The day the USA
government makes a decision to take the business in-house then the Icare billing business will be
over.

2.8.2 Economic Analysis:

As all the revenue collected is in US dollars so whenever the price of dollar increases as
compared to Pakistan rupee Icare billing has something to share with its employees.

These days the value of the rupee is decreasing very quickly so all such organizations which are
getting revenue in the form of US dollars are paying their employees very high. High inflation
rate in the market compels the companies to give bounces to their employees. As the government
is putting a lot of attention on foreign exchange reserves so companies like Icare billing is always
treated like a hot cake.

2.8.3 Social Analysis:

Icare billing serves as a first step organization for most of the employees. I care billing has never
ignored its responsibility to provide social life benefits to its employees

2.8.4 Technological Analysis:

Icare Billing is known in the market as a “Unique healthcare IT company”. Health

information technology (Health IT) allows comprehensive management of medical
information and its secure exchange between health care consumers and providers. Broad
use of health IT:

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 • Improve healthcare quality;

• Prevent medical errors;

• Reduce health care costs;

• Increase administrative efficiencies;

• Decrease paperwork; and

• Expand access to affordable care.

2.8.4.1 Connectivity 

ICB has its own in-house call center, technical support and customer support team. This
team has VOIP phones which links them to the clients and other stake holders in USA.
ICB has state of technology of connectivity, new office in Bagh also has the same VOIP
technology and therefore they have the best equipments and hardware available in the
market. They have provider 24/7 customer support to all the clients. There are several toll
free numbers which are provider to clients and their patients on which they can call and
get their issues resolved. 

2.8.5 Environmental factors:

The conditions of natural environment do not affect the ICB and its markets.  Recently due to the
pandemic of COVID-19 economy of whole world is diving so it directly impacts the lifestyle of
the customers. People are out of jobs and are not getting salaries on time due to which people
prefer to spend money on their basic needs and hesitate to buy the luxurious products but the
healthcare industry grown at this time and there was a more demand of all kind of healthcare
services.

2.8.6 Legal factors:

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ICB should consider some external legal factors like they can increase their regulation on
patients and providers database. It is a threat and as well as an opportunity for the company like
there would be an additional effort and expense in maintaining privacy and security but at the
same time it will strengthen its brand image and it will be easy for the company to operate in
United states under certain regulations.

2.8.7 Final Thoughts:

There are a number of positive factors impacting the medical billing from Pakistan. Stable
governments, relaxation for remittances and tax incentives are the political pros of billing.
Economic changes like growing disposable incomes and the rise of the sharing economy are
making travel accessible. Technological factors improve communication and remote operations.

Chapter no 03

Job Description and its Analysis

3.1 Brief Introduction of Company

I did my Internship at I care billing Bagh office, I care billing provides Medical Billing and
Transcription services to numerous specialties and general physicians.

Icare billing’s have a proven track record of business start up expertise. Icare billing has
helped several health care physicians and practices to grow their businesses and maximize
their profits limits under minimum cost through its proficiency.

Icare billing’s are focused on improving the position of the healthcare industry,
ultimately, helping them to reach the success that they are working.

. All the activities related to billing are headed at this office. All the planning, development,
execution and handling billing accounts will be held through this office. The staff of the office is
cooperative and friendly. Office is well managed, well-furnished.

3.2 Starting and Ending Date of Internship:

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I worked in the Icare billing Bagh office at Haideri Chowk,Bagh AK for six weeks from May
03, 2021 to July 30, 2021.

3.3 Number of employees:

⮚ Mr. Rasheed Manager

⮚ Israr Kazmi Account specialist

⮚ Irfan Azad Account specialist

⮚ Hamza Gardezi Data operator

⮚ Usman Malik Calling specialist

⮚ Azhar Baig Account specialist

3.4 Detail of job description and position:

My job description as an internee was:

⮚ To ensure that all patient information is accurate and complete and request any missing
patient information.

⮚ To obtain and review referrals and authorizations for treatments.

⮚ To confirm patient benefits and insurance eligibility.

⮚ To follow and adhere to all regulations and guidelines set by state programs, and
HMO/PPO, etc.

⮚ To transfer insurance claims and billing data to billing software.

⮚ To update billing software with rate changes.

⮚ To create both paper and electronic copies of documentation.

⮚ To develop and maintain a tracking system of incoming and late payments.

⮚ To follow up on late payments and initiate late payment notices to relevant parties.

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 ⮚ To work with personal information and maintain patient confidentiality.

⮚ To monitor and resolve financial discrepancies.

⮚ To handle and answer all patient or insurance telephone inquiries.

3.5 My Job

During my Internship I did the following activities as an internee

3.5.1 Week 1 & 2:

In my first two weeks as a new internee I was just teached about medical billing and its
processes, how it works which included following topics which were told step by step sitting
with employees:

1. The World of Healthcare

2. Medical Insurances

3. Medical Records

4. Electronic Records

5. Introduction to Medical Terminology

6. Ethics and Legal Issues

7. Reimbursement

8. Coding for the Medical Biller

9. Introducing the CMS-1500 Claim Form

10. Explanation of Benefits

11. Secondary Claims

12. Insurance Basics

13. Denials and Aging

14. Medical Billing Technology

15. Accounts receivable and followups

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3.5.2 Week 3:

In the third week was assigned the very first step of medical process which is preparing the
claims and it involves following duties

I took the super bills from the medical coder and put it either into a paper claim form, or into the
billing software. After creating the medical claim, i was responsible for ensuring that the claim
meets the standards of compliance, both for coding and format and all the information is correct

The accuracy of the coding process is generally left up to the coder, but the biller does review the
codes to ensure that the procedures codes are billable.

3.5.3 Week 4:

In the fourth week after having hands on creating and checking the claims I was assigned the
next task which was electronically (in some cases paper) submitting the claims to insurances
using the software called Kareo.However the claims go through clearinghouse which is a third-
party organization or company that receives and reformats claims from billers and then transmits
them to payers. Clearinghouses ease the burden of medical billers by taking the information
necessary to create a claim and then placing it in the appropriate form. Think of it this way: A
practice may send out ten claims to ten different insurance payers, each with their own set of
guidelines for claim submission. Instead of having to format each claim specifically, a biller can
simply send the relevant information to a clearinghouse, which will then handle the burden of
reformatting those ten different claims

3.5.4 Week 5:

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In the fifth week I worked with the A/R (Accounts receivable) team who has the first task of
monitoring the adjudication. Once a claim reaches a payer, it undergoes a process called
adjudication. In adjudication, a payer evaluates a medical claim and decides whether the claim is
valid/compliant and, if so, how much of the claim the payer will reimburse the provider for. It’s
at this stage that a claim may be accepted or denied. Once the payer adjudication is complete, the
payer will send a report to the provider/biller, detailing what and how much of the claim they are
willing to pay and why. This report will list the procedures the payer will cover and the amount
payer has assigned for each procedure. The report will also provide explanations as to why
certain procedures will not be covered by the payer.

3.5.5 Week 6:

The week 6th was spent working with Calling team and performing A/R jobs which included
overseeing billing operations and processes in order to ensure collection of account balances
supporting collection efforts, and reviewing account discrepancies. I have had the following
duties that week

An accounts receivable specialist or clerk will have specific A/R management responsibilities:

● Preparation and sending of patient statements/Bills

● Negotiating with insurances on payments and denials

● Recording and reconciling payments

● Resolving payment discrepancies

● Maintaining billing accounts and records

● Producing reports as required by management

● Assisting with collections

(And the rest of the time after my internship was spent as a part time job which included all the
jobs and duties mentioned above)

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 Chapter # 04

Findings and Recommendations

4.1 Workplace Environment:

The workplace environment of the I care billing is very friendly, corporate and people are very
easy to work with. They treated me very well and during work hours they served us tea and
snacks with good hospitality. There is a good ethical and legal environment where anyone can
easily do their work easily and effectively and the best part is that they support and encourage
ideas and creativity and everyone is open to assist you in any problem or confusion.

The work place is good and present in the main area of the city. The office is newly constructed
and is well furnished, has good spacing and lighting, the office is well furnished. I was provided
with the chair, table, notepad, pen and an internet calling system telephone through which I
provide them services.

4.2 Management Leadership style:

The Icare billing (Bagh Office) was managed by Mr. Rasheed.

4.3 Employee attitude and morale:

The attitude and morale of the employees toward internees is very positive. They are very
friendly and cooperative. They treat us the same way teachers treat us. They teach us and if we
do anything wrong they scold us.

4.4 Budget and Finance:

Unfortunately due to certain policies and restrictions I was not provided with the financial details
So i could not conclude any final figure but as per my understanding and verbal discussions with
the office members i came to know that one client generates almost $2500 of the revenue
monthly and it is

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4.5 Findings:

During my internship at I care billing, I concluded the following things.

4.5.1 Punctuality:

The staff was professional with their timings and schedule. They were given a free hand which
was to be used as a perk for better and relaxed response.

4.5.2 Qualified Staff:

The management system is quite good. Despite all the flaws all the staff members were well
qualified and knew their job very well. They were helpful and kind.

4.5.3 Reward System

The performance reward linkage should be made strong as it is said, “A happy employee
delivers more than he receives from the organization.” The ICB policies are so far very
good which cause its employees happier. But unfortunately sometimes due to the
disturbance in the budget and the presence of unnecessary staff at a single designation there
will be lack of reward system.

4.6 Recommendations:

I recommend the following things to I care Billing.

4.6.1 Reward System:

The performance reward linkage should be made strong as it is said, “A happy employee delivers
more than he receives from the organization.”

4.6.2 Use Marketing and Advertising Techniques:

They must have to adopt marketing and advertising techniques to attract domestic and
international tourist

4.6.3 Proper Planning

Company should make a plan to gear up its services.

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4.6.4 Proper Guidance

Company should adopt such an induction plan that when a new induction is made there should
be a proper session that can help the new comer to understand the job description and
environment of the company.

4.6.5 Salary Increments

Its competitors are providing more salaries than I care billing company. It should be revised
and employees should be paid handsome salaries.

4.6.6 Follow up teams

Billing Team should be separated and Follow up Team should be separated so that by doing
follow-up effectively account receivables are reduced.

4.6.7 Job Security

Job security should be provided to overcome the resignation and to promote Employee
retention. 

4.6.8 Increase Charges

ICB is providing services at 4%, It should be increased as now due to inflation and
world crises the rate should be increased to 5% or 6% to increase the revenue. iii.
Currently ICB is not charging for Software’s. It should be provided on cost so that ICB
should generate revenue. 

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 Reference:
(https://www.icarebilling.com/)

(https://www.marketing91.com (Bhasin, 2021)

 Bibliography

[ CITATION Ica15 \l 1033 ]

(http://en.wikipedia.org/wiki/Medical_billing_(United_States)

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